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Organization
MOONFIELD MEDICAL MGMT. CORP
Active
Organization
MOONFIELD MEDICAL MGMT. CORP
Active
Other names
MOON Y. LEE,M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOON Y. LEE M.D. (PRESIDENT)
(951) 734-7600
Entity
Organization
Contact information
Practice address
710 E PARKRIDGE AVE, CORONA, CA 92879-1097
(951) 734-7600
(951) 734-1557
Mailing address
PO BOX 1269, CORONA, CA 92878-1269
(951) 734-7600
(951) 734-1557
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A032377
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A323770
—
CA
Enumeration date
04/16/2007
Last updated
10/30/2007
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